I-cerebral ischemia (i-hypox-ischemic encephalopathy) yinkxalabo yokukhubazeka kokukhulelwa nokubeletha, oku kubangelwa iintsana ngokuphelelwa yindlala yomoya. Esi sifo sivame ukufunyanwa, kodwa ngokuphindaphindiweyo ekuzalweni umntwana akakwazi ukuhlukana nayiphi na indlela kubantwana abasempilo. Kwaye emva kwexesha elifutshane, lesi sifo siqala ukuzibonakalisa.
Izinto ezingabangela i-cerebral ischemia kwiintsana
- iminyaka yobudala besifazane ekubelethweni ngaphezu kwama-35;
- ukuchithwa kwangaphambili kweplacental;
- ngaphambi kwexesha okanye ngokukhawuleza, ukuhanjiswa kwangethuba;
- preeclampsia;
- ukuphulwa kwenkqubo ye-cardiovascular fetal;
- utywala lwe-amniotic fluid;
- ukuzala okuninzi;
- ukugula okungapheliyo okanye okunzima komama ngexesha lokukhulelwa.
Iimpawu kunye neempawu ze-encephalopathy ezinsana ezisanda kuzalwa
- isifo sokwandisa ukukhula - umntwana unokulala okungahlaliyo kwaye engahlali kakuhle, uhlala ekhala ngenxa yesizathu esithile, uqhube kwaye uhlala ekholiseni;
- i-hydrocephalic syndrome - usana olwenziweyo ukwanda ngokukhulula kwentloko kunye nefonti enkulu;
- i-convulsive syndrome-ukubonakalisa ukuxhatshazwa kwexhala;
- isifo soxinzelelo - ukuxilisa nokunyuka kweengcamango zokunciphisa, ukutyhafaza kwetoni ye-muscle, ukubonakala kwe-strabismus kunye ne-asymmetry ebusweni kunokwenzeka. Usana luba luvila kwaye lusebenza;
- i-comatose syndrome yimeko embi yomntwana, apho kungekho zicatshulwa zokutshiza kunye nokugwinya, kwaye akukho mpendulo eyenziwa yintlungu yangaphandle. Kule meko, umntwana usinciphisa uxinzelelo lwegazi, kunye nokuphefumula kunye nokuphala.
I-cerebral ischemia kwiintsana - unyango
Ngokuxhomekeka kwiimpawu kunye neziphumo zoviwo, izigaba ezintathu zobunzima be-cerebral ischemia yengqondo kwiintsana zizahlukana.
- Iqondo elilula - unyango lwenziwa kwisibhedlele sokubeleka, kwaye emva kokukhutshwa kuyimfuneko ukugcina i-neurologist. Kule meko, umntwana ubhalwe ngumxhelo ogqithiseleyo okanye, ngokuchaseneyo, uxinzelelo ngeveki yokuqala yobomi.
- Isilinganiso semyinge - ukungabikho kwidilesi yokubeletha, unyango lwentsana lwenziwa esibhedlele. Eli nqanaba lenkxalabo libonakaliswe ngethuba elide lokusebenza kwe-nervous system yomntwana, ehamba kunye nokubonakaliswa kwexesha lokubamba.
- Isiqulatho esincinci - ngokukhawuleza emva kokuzalwa umntwana ufakwa kwiyunithi yokunyamekela. Imeko yentsana ibonakaliswe ukuxinezeleka, ibe yinto evuyisayo, ukuxinwa kunye ne-coma.
Njengonyango kwinqanaba lokuqala lesi sifo, izifundo ezininzi zokuzihlaziya ziya kukwanela, ngaphandle kokusetyenziswa kwanamaphi amayeza. Unyango lwezinga eliphezulu kakhulu le-cerebral ischemia kwiintsana zintsholongwane kunokwenzeka kuphela kwiinkcazo ezinzulu zogqirha. Ngokuqhelekileyo ezi zijojo, ikhandlela,
I-cerebral iskemia kwiintsana-iziphumo
Iyeza langoku likuvumela ukuba ugweme iingxaki zesifo. Kodwa ekubeni imiphumo ye-cerebral ischemia kwiintsana ingaba nzima kakhulu, isifo sifanele sifumaneke kwaye siphulukiswe ngokukhawuleza. Inxalenye ephambili yabantwana abaye bavalelwa yi-cerebral ischemia, kukho imiqondiso encinci - ukukhathala okukrakra, imemori encinci, i-febrile convulsions, i-hyperactive syndrome. Isiphumo esiyingozi kakhulu kwesi sifo kwiintsana kubangela ukukhubazeka kwe-cerebral (cerebral palsy) kunye nokuhluthwa. Ukugxekwa kwe-cerebral ischemia kwiintsana eziza kutshatyalaliswa kugqityiwe ngesantya sokugula kwesi sifo kunye nokuphumelela kwamanyathelo okubuyisela okumiselwe ngumntwana we-neurologist.